Individual
LORAH A SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5441 SW MACADAM, SUITE 102, PORTLAND, OR 97239-3821
(503) 221-6946
(503) 222-5480
Mailing address
5441 SW MACADAM, SUITE 102, PORTLAND, OR 97239-3821
(503) 221-6946
(503) 222-5480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
631
OR
103T00000X
Psychologist
PSY936
HI
103T00000X
Psychologist
PY00003429
WA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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